Epilepsy Service Innovation–switching to Open Access

Managing epilepsy in austerity – Evaluating the utility and value of the epilepsy specialist nurse in an open access model of service delivery. Aneurin Bevan Epilepsy Specialist Team (A.B.E.S.T.)

“…We used a traditional out-patient follow-up appointment booking model; [5] leading to long waiting lists, patient dissatisfaction and clinical risks. A pioneering new model was introduced, the 'Open Access Model' (OAM), aiming to provide patients and families with a point of contact via the ESN to discuss problems as they arise [6]. This enabled the ESN to triage patients in a timely manner, implement treatment changes over the phone, and reduce the need for outpatient appointments.…”